Miscellaneous Flashcards
name the components of the mental state examination
appearance and behaviour
speech
mood and affect
thoughts
perception
cognition
insight
what is psychosis?
when people perceive or interpret things differently from those around them
what are the 2 types of antipsychotic medication
typicals- haloperidol
atypicals- risperidone, olanzapine
typical antipsyhcotics tend to have what side effects
extra-pyramidal symptoms and signs
parkinsonism
what do atypical anti psychotic tend to have as side effects
metabolic syndrome-
- obesity
- increased cholesterol
- diabetes
- hypertension
what scale do you use to assess post partum mental health
edinburgh scale
which SSRI has higher incidence of withdrawels
paroxetine
what is this?
transient paralysis
occurs when awakening or falling asleep
can have hallucinations
sleep paralysis
if taking clozapine…what do you need to check / watch out for?
FBC
can cause agranulocytosis
what antidepressant should be taken post MI
sertaline
anti psychotics caused an increased risk of what in the elderly
stroke
in anorexia
are these high or low
GH
cortisol
cholseterol
glucose
high
if on the pill, can you take st johns wort/
no
it reduced the effectiveness of the pill
if on SSRI and an NSAID would else should you give
PPI as they have increased risk of GI bleed
name some benzodiazepines
lorazepam
midazolam
loprazolam
how do benzodiazepines work
increase GABA mediated inhibition
decrease anxiety
muscle relxation
anticonvulsant effect
clinical uses of benzodiazepines
acute treatment of extreme axiety hypnosis alcohol withdrawel mania delerium status epilepticus
problems with benzodiazepines
can lead to tolerance and dependence
impaired cognition
paradoxial aggression
to have a learning difficulty your IQ should be what?
<70
why are psych problems more common in those with learning difficulties
organic vulnerability
social deprivation/disadvantage
life events
psychological reasons
schiz and depression are 3x more common!!
what can a decrease in dopamine lead to?
parkinsons
describe the relationship between dopamine and prolactin
dopamine restrains prolactin production
more dopamine = less prolactin
less dopamine = more prolactin (and parkinsons)
excessive dopamine transmission is associated with..?
schizophrenia
other name for a seretonin receptor?
5- HT receptor
